DR. JACOB ALLAN FAY-SHIELDS MD
NPI 1467038042
Family Medicine in Gorham, ME

Q: What is Jacob Fay-shields's NPI number?

The NPI number for Jacob Fay-shields is 1467038042. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Jacob Fay-shields's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Fay-shields was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment

575 MAIN ST, GORHAM, ME 04038(207) 839-2559 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 16, 2024, Mar 23, 2021 (2 updates tracked since 2021).

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About Dr. Jacob Allan Fay-shields Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB ALLAN FAY-SHIELDS MD (NPI 1467038042) is an individual family medicine provider in Gorham, Maine, licensed in Maine (MD28450) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Medical College Of Wisconsin (2021).

NPPES Registry Identity

NPI1467038042

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACOB ALLAN FAY-SHIELDSCredential: MD

Location Address575 MAIN STGorham, ME 04038-2623

Mailing AddressPo Box 9746Portland, ME 04104-5040 · (207) 791-3888

Phone(207) 839-2559

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2021

Enumeration DateMarch 23, 2021

Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1467038042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ME · MD28450

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

575 MAIN ST, Gorham, ME 04038

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Allan Fay-shields Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830581495

PECOS Enrollment IDI20241022003106

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Health

Acute Care Hospitals · Portland, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200008

Location144 State StreetPortland, ME 04101 · Cumberland County

Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIN HA NGOC MD

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

DR. MARTIN FRANCIS WESOLOWSKI D.O.

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

SEAN P CAREY DO

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

JENNIFER SCONTRAS MD

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

JONATHAN HARVEY MD

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

SARAH LEVY APRN-FNP-C

Nurse Practitioner (Family)

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

RACHEL L. SULLIVAN PA-C

Physician Assistant

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

KIMBERLY ANN WELLS FNP

Nurse Practitioner (Family)

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Fay-shields's NPI number?

The NPI number for Jacob Fay-shields is 1467038042. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Jacob Fay-shields located?

Jacob Fay-shields practices at 575 Main St, Gorham, ME 04038. The listed phone number is (207) 839-2559.

What is Jacob Fay-shields's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Fay-shields enrolled in Medicare?

Yes. Jacob Fay-shields is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Fay-shields accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacob Fay-shields as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Fay-shields affiliated with any hospitals?

According to CMS data, Jacob Fay-shields is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Fay-shields was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.